National Provider Identifier Database

CANYON LAKE HOSPICE INC
Hospice Care, Community Based


Contact Information

CANYON LAKE HOSPICE, INC.
41661 ENTERPRISE CIR N STE 217
TEMECULA, CA92590
Phone: 951-296-0082
Fax: 951-296-0083
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for CANYON LAKE HOSPICE, INC.

NPI Number 1205260130
Legal business name
LBN
CANYON LAKE HOSPICE, INC.
Authorized official MAYA THONA - (AUTHORIZED OFFICIAL/DPCS)
Entity Organization
Organization subpart No
Enumeration date 08/28/2013
Last updated 04/13/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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